Beschreibung:

As economic woes increase the constraints on escalating healthcare costs in the US and Europe, this volume sizes up the prospects for intensive care units whose sustainability is doubted by policymakers as much as patients' need for ICUs continues to rise.Intensive care medicine is one of the fastest growing services provided by hospitals and perhaps one of the most expensive. Yet in response to the global financial crisis of the last few years, healthcare funding is slowing or decreasing throughout the world.

How we manage health care resources in the intensive care unit (ICU) now and in a future that promises only greater cost constraints is the subject of this book, the third in an informal series of volumes providing a global perspective on difficult issues arising in the ICU.

Taking 12 developed countries as their focus, leading experts provide a country-by-country analysis of current ICU resource allocation. A second group of experts use the chapters as a departure point to analyze current ICU resource allocation at the level of the global medical village. The process is repeated, but with an eye toward the future - first country by country, then at the global level - that takes into account initiatives and reforms now underway.

A fictional healthcare plan, the "Fair & Equitable Healthcare Plan," is put forth to address weaknesses in existing approaches, and healthcare experts and ethicists are invited to respond to its often provocative provisions.

Itself structured as a dialogue, the book is an excellent way to start or to continue serious discussion about the allocation of ICU healthcare resources now and in the years ahead.

26. Analysis of the Demand for Health Care in the Global Medical Village

by Timothy G. Buchman and Donald W. Chalfin

27. First Critique of Buchman and Chalfin's Conclusions

by Leslie P. Scheunemann and Douglas B. White

28. Second Critique of Buchman and Chalfin's Conclusions

by Lynn Barkley Burnett

29. Third Critique of Buchman and Chalfin's Conclusions

by Charles L. Sprung

30. Fourth Critique of Buchman and Chalfin's Conclusions

by Richard Burrows

Part II. The Fair and Equitable Health Care Act

31. The Fair and Equitable Health Care Act (FEHCA)

by David W. Crippen

32. First Critique of the Fair and Equitable Health Care Act (FEHCA)

by Michael A. Rie and W. Andrew Kofke

33. Fixing the Foundation of Critical Care at the End-stage of Life

by Jack K. Kilcullen

34. Third Critique of the Fair and Equitable Health Care Act (FEHCA)

by Leslie M. Whetstine

Part III. Legal and Nursing Viewpoints

35. Medical Judgment Versus Capitulation

by Gilbert Ross

36. Nursing Aspects of Inappropriate Patient Care

by Melanie S. Smith

Part IV. Conclusions

37. Where Is "Universal" Health Care Headed in the Global Village?

by M. A. Kuiper and Steven M. Hollenberg

38. The New Shape Of Intensive Care In The United States

by Derek C. Angus

39. Health Care in the Year 2050

by Brian Wowk

Afterword

by David W. CrippenFrom the reviews:

"This monograph challenges the critical care community to evaluate the technical, moral, and financial limits of critical care. ... Trainees, policy makers, and medical practitioners are an appropriate audience for this book, which features international perspectives on critical care resource utilization. ... This book effectively frames the question of resource limitation and offers a short list of strategies to address this concern in the future." (David J. Dries, Doody's Book Reviews, April, 2013)

"Simply compelling! ... dynamic, balanced, and stimulating ... challenges readers to question 'how things are done' and 'how things should be done' in the ever changing financial and ethical world of the ICU. ... not only a must read for ICU clinicians of all disciplines but also for health economists, health policy makers, ethicists and even the lay public." (Richard J. Brilli, Critical Care Medicine, Vol. 41 (4), April, 2013)

"It would appeal to individuals with an interest in the different systems of health care delivery, particularly from a global perspective. This book would also serve as an excellent foundation for anyone researching various care models throughout the globe. ... intensive care physicians who wrestle daily with questions on how to deliver care in a system with limited resources and ever expanding patient expectations will take great interest in this book." (Donald Griesdale, Canadian Journal of Anesthesia/Journal canadien d'anesthésie, Vol. 60, 2013)1

Über den Autor

David W. Crippen, MD, FCCM is Professor of Critical Care Medicine at the University of Pittsburgh School of Medicine and Co-Director, Neurovascular ICU at the University of Pittsburgh Medical Center. He also holds secondary appointments as Professor in the Department of Emergency Medicine and in the Department of Neurologic Surgery.

Dr. Crippen trained in general surgery, emergency medicine, and critical care medicine. He is a member of the Society for Critical Care Medicine, the European Society for Intensive Care Medicine, and the American College of Emergency Physicians. He is a Fellow of the American College of Critical Care Medicine, has been a Diplomate of the American Board of Emergency Medicine for 20 years, and received the European Diploma in Intensive Care Medicine.

Dr. Crippen is a prolific writer in the medical and popular literature and a frequent speaker at international medical meetings. He moderates the Critical Care Medicine Internet Group (CCM-L) with more than 800 members around the world. Dr. Crippen plays lead and rhythm guitar for the rock group The CODES, has raced motorcycles on off-road and road racing circuits, and collects and tours the world on vintage motorcycles.

Klappentext

Intensive care medicine is one of the fastest growing services provided by hospitals and perhaps one of the most expensive. Yet in response to the global financial crisis of the last few years, healthcare funding is slowing or decreasing throughout the world.

How we manage health care resources in the intensive care unit (ICU) now and in a future that promises only greater cost constraints is the subject of this book, the third in an informal series of volumes providing a global perspective on difficult issues arising in the ICU.

Taking 12 developed countries as their focus, leading experts provide a country-by-country analysis of current ICU resource allocation. A second group of experts use the chapters as a departure point to analyze current ICU resource allocation at the level of the global medical village. The process is repeated, but with an eye toward the future - first country by country, then at the global level - that takes into account initiatives and reforms now underway.

A fictional healthcare plan, the "Fair & Equitable Healthcare Plan," is put forth to address weaknesses in existing approaches, and healthcare experts and ethicists are invited to respond to its often provocative provisions.

Itself structured as a dialogue, the book is an excellent way to start or to continue serious discussion about the allocation of ICU healthcare resources now and in the years ahead.

Written by leading international experts in critical care practice, biomedical ethics, and law and medicine

This is the first book since the advent of the global economic crisis and American health care reform to address resource allocation in critical care, the most expensive utilization in the hospital setting, and often the most demanded, especially in the context of the end of life.